JESSICA LYNN SPAULDING MSN PMHNP-BC NPI 1275174641

NPI Information

  • NPI: 1275174641
  • Provider Name: JESSICA LYNN SPAULDING, MSN, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 105 2ND AVE NE STE 110
    GLENWOOD, MN
    ZIP 56334
  • Phone: (320) 428-0744

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NPI Details

Jessica Lynn Spaulding, MSN, PMHNP-BC is a psychiatric/mental health nurse practitioner in Glenwood, MN. Jessica Lynn Spaulding, MSN, PMHNP-BC NPI is 1275174641. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

105 2ND AVE NE STE 110
GLENWOOD, MN
ZIP 56334-226
Phone: (320) 428-0744
Fax: (320) 438-2829

The NPI 1275174641 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/7/2019 and was last updated on 10/5/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health7103MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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